WEST-EAST MIS CONFERENCE Hilton, Tel Aviv, June 20-21, 2019

29 ינואר, 2019

WEST-EAST MIS CONFERENCE Hilton, Tel Aviv, June 20-21, 2019

Inspired by Dr. Bernard Hahan

Culture has a great influence on esthetics, and what doctors consider to be a success or failure in esthetic dentistry. Cultural trends and lifestyles, are certainly a significant factor to which dentistry must adapt. While in the West, esthetic dentistry is influenced by a classical approach, exposure to Eastern cultures reveals a very different concept of an esthetic ideal. The vision guiding this unique conference is to present these different approaches, and find the harmony in each signature smile.

Conference Speakers

Bernard Dahan, Israel

Dr. Dahan completed his dental degree in 1976 at Toulouse University in France. In 1978, he obtained his Periodontology license from the University of Marseille. Until 1991, he was in charge of the Periodontal Department at the Institute of Dental Advanced Studies in Haifa, Israel. Dr. Dahan established the Moria Periodontal Center in Haifa in 1985. The center specializes exclusively in periodontics and implantology. Periodontists at the center work as a team, with a clear orientation in esthetics and close cooperation with several General Practitioners, Orthodontists and Prosthodontists in the North of Israel.

Dr. Dahan is a member of the Israeli Association of Periodontology and Osseointegration, the European Federation of Periodontology, the Association of Microscope Enhanced Dentistry and the American Academy of Periodontology.

Eric Van Dooren, Belgium

Dr. Eric Van Dooren attended the Katholieke Universiteit Leuven, Belgium, where he received his degree in dentistry in 1982. After graduating, he opened a private practice in Antwerp, Belgium, specializing in periodontics, fixed prosthodontics and implantology. Currently, he is a Visiting Professor at the University of Liege, Belgium, and at the University of Marseille, France, and an active member of the European Academy of Esthetic Dentistry. In addition, he is a member of the editorial staff of Teamwork (Germany) and a member of the Belgian Dental Society. Dr. Van Dooren lectures nationally and internationally, mainly on esthetics, implants and esthetic periodontal surgery. He has published several papers in national and international journals.

Iñaki Gamborena, Spain

Dr. Iñaki Gamborena received his dental degree from Universidad Odontológica Dominicana in 1989, a certificate in Occlusion and Temporomandibular Disorders from the Mexican Association of Occlusal Reconstruction in 1990, and a certificate in Restorative Dentistry from the Autónoma Nuevo León University in México in 1992. He then pursued his post graduating training in the US with a certificate in Prosthodontics and Master of Science degree in Dentistry from the University of Washington in 1996, where he was awarded with the Bolender contest award for clinical and academic excellence. He received a certificate in Oral and Craniofacial Implants from the University of Texas in 1997.

Iñaki Gamborena, Spain

Dr. Gamborena has been an Affiliate Professor at the University of Washington since 2001, assistant professor at the department of preventive and restorative sciences at the University of Pennsylvania since 2007 and clinical assistant professor at the department of periodontics at Medical College of Georgia

His private practice in San Sebastián is dedicated to esthetics, restorative dentistry and implants.

Masayuki Okawa, Japan

Dr. Masayuki Okawa D.D.S received his degree from the Tohoku Dental University of Dentistry. He is the vice chairman of the board in the Tokyo SJCD and a board member of the Academy of Microscope Enhanced Dentistry in the USA. Dr. Okawa is also the department director of the faculty of dentistry alumni association at Ohu University, a certified dentist of both the Japan Academy of Esthetic Dentistry and the Japan Academy of Gnathology and Occlusion, and is an affiliate of the EAED. Dr. Okawa has had a private clinic in Tokyo since 2001.

Florin Cofar, Romania, USA

Dr. Florin Cofar attended the University of Victor Babes in Timisoara, Romania, where he received his degree in dentistry in 2007. He is a post-graduate of NYU College of Dentistry, and a Harvard Business school attendee. Dr. Cofar specializes in esthetic interdisciplinary dentistry. He is an international speaker on dental esthetics, digital dentistry, smile design, and has lectured in more than 30 countries, including respected academies like The American Academy of Cosmetic Dentistry, and the Brazilian Academy of Cosmetic Dentistry. Dr. Cofar is known for his videography work in dentistry and is the author of some of the most popular videos in the dental field. Presently, he is lecturing all around the world and practicing dentistry in his own practice in Timisoara, Romania.

Masana Suzuki, Japan

Dr. Masana Suzuki D.D.S received his degree from Nihon University School of Dental at Matsudo, Japan in 1984. He has served as the executive director of the Japan Society for Clinical Dentistry, for which he has also founded multiple courses on micro-dentistry, micro-surgery and micro-implants.

During the years of 2005-2011, Dr. Suzuki served as the president of SJCD Tokyo. He also served as the president of the Osseointegration Study Club of Japan from 2013-2015. Dr. Suzuki has lectured all over the world in many prestigious scientific conferences, and has published countless articles in professional journals. He has also written and co-written many books on various subjects such as advanced techniques in periodontal micro-surgery, esthetics of dental technology, and periodontal prosthesis. Dr. Suzuki has a private practice in Tokyo.

Mirela Feraru, Israel

Dr. Mirela Feraru graduated in 2005 from the Dental Faculty of the Timisoara University, Romania. After her graduation she practiced General Dentistry in private clinics in Timisoara and in Athens. In 2009 she joined the Bichacho clinic team in Tel Aviv. For the last 6 years Dr. Feraru has gained in-depth knowledge and experience in all fields of Perio-Prosthetic Aesthetic Dentistry, where she has been focusing in Restorative and Perioplastic surgery treatments. She continues studying and participating in advanced programs and courses in the various fields of modern Perio-Prosthetics. In addition Dr. Feraru has acquired extensive experience in high quality dental photographic documentation and has been sharing it with colleagues world-wide through articles, lectures and workshops. Dr. Feraru has been publishing and lecturing in the fields of Restorative Adhesive Treatments, Interdisciplinary Perio-Prosthetic Treatments and High-end Treatment-Dedicated Dental Photography.

Thursday, June 20th

Welcome reception

Opening Remarks

The Mystery of Harmony

Dr. Bernard Dahan (Israel)

Esthetics have taken a predominant place in our world and have often been associated with harmony. A pleasing arrangement and the right combination of different elements which form a consistent whole, could define harmony in art as well as in the social sciences.

Could it be only a magic proportion, a mathematical formula, or is it more than that?

Different cultures have also influenced and adapted the concept of harmony.

Artists and creators also have their own perspective and interpretation of it, and are influenced by trends, lifestyles and philosophy.

Esthetics in dentistry have also reflected cultures and geographic influences in which harmony is often presented as a signature smile.

Harmony in Surgical Implantology

Bone Support and Harmony, Clinical Decisions on Extraction Day

Dr. Iñaki Gamborena (Spain)

This lecture will focus on the difference in protocols when it comes to surgical and prosthetic criteria to treat anterior implants on an immediate, or delayed manner using only soft tissue grafting procedures as a volume maintainer. We will look into the necessity of grafting, donor site selection and the histologic background that creates the difference. Criteria, techniques and tools will be discussed in order to reach the best, and most consistent results around anterior implant treatments. From key aspect involved in the decision making, to execution; taking into account all aspects which the clinician should take into consideration.

Tissue Management Around Implants as a MUST

Dr. Masana Suzuki (Japan)

To have stability in an implant restoration, it is necessary to have both quality and quantity of soft and hard tissue around it. If we look back, there was a time when the important focus was more on the hard tissue rather than the soft tissue. Only recently, has the importance of soft tissue been generally recognized.

The role of peri-implant soft tissue is simply for function and aesthetics. Function, meaning the defensive barrier which protects an implant restoration. This is the role of peri-implant keratinized tissue. The aesthetic is mainly a requirement for the anterior area. When considering the case of an implant restoration, it is necessary to construct a structure that will be different from those of natural teeth.

During this lecture, the author wishes to consider mainly peri-implant soft tissue management, taking into account both the functional and the aesthetic, from clinical prognosis.

Harmony and Dental Restorations in the Smile Zone

Can Full Dental Restorations Achieve Harmony?

Dr. Eric Van Dooren (Belgium)

Less is More - Contribution of Minimally Invasive Esthetic Dentistry to Harmony - Part 1

Dr. Masayuki Okawa (Japan)

Lately, favorable results are seen in many esthetic & functional rehabilitation cases with minimally invasive techniques.

This became possible due to the development of bio-mimetic advancements in bonding techniques, and treatments using the etiological-based approach.

In addition, the use of the microscope has allowed us to obtain precise and predictable outcomes in many clinical cases.

On the other hand, in the digital age, producing the restorations by CAD/CAM has become common, and it is now up to the tool to assist in the examination, diagnosis and in making treatment decisions.

The future prospective of minimally invasive esthetic rehabilitations adopting a digital approach, would require the following clinical discussions:

1. There are multiple clinical cases reported on the shift from MI to none-invasive treatment by maximizing the preservation of sound tooth structures; but is tooth reduction necessary at all? Or, what is the correct designated location of the finishing line and marginal morphology? Is it a full-veneer or an additive veneer restoration? What will be the amount of tooth reduction needed for respective restoration materials?

2. In case of Bonded Ceramic Restoration (BCR), accuracy is essential to maximizing its predictability, but what would be key points in the clinical workflow to maintain this high predictability when digital technology replaces traditional restoration work?

3. What will be the appropriate material selection guidelines for all relevant materials between the traditional and digital

restorative works?

4. In case of minimally invasive full-mouth rehabilitation treatment providing occlusions, a test drive of a provisional restoration considering both function and aesthetics, is mandatory. However, what would be keys for indirect Bonded Restorations, which do not suppose retention and resistance factors?

5. Development of the 3D facial scanner combined with digital face bow, and digital occlusal instruments is desired.

The speaker wishes to explain all of the above through his clinical cases.

Harmony with Implant Restorations

The Secret of the Emergence Profile: the Harmony Between the Reconstruction and the Biological Tissues

Dr. Iñaki Gamborena (Spain)

The goal to create a harmonious, “aesthetic” outcome around dental implants, that mimics the surrounding dentition and softtissue condition as well as morphology, is indeed difficult to create and maintain long-term. The aesthetic outcome and natural appearance of the implant restoration ultimately depends on the execution and understanding of the team participating in the different treatment phases. Key elements and basic criteria will be discussed in order to achieve the best prosthetic outcome related to the soft tissue volume present at the implant site and to choose the correct technique to maximize the best result.

The presentation focuses on the clinical criteria, sequencing/timing and current prosthetic techniques for maximizing optimal aesthetics in conjunction with the lab technician communication, which is a critical element for achieving gingival integration and aesthetic success.

Is Restoration of Lost Papilla Achievable? - Myth or Reality

Dr. Masana Suzuki (Japan)

Needless to say, that both vertical and horizontal soft tissue levels are important factors which determine the success of the aesthetic restoration. This is especially true of the soft tissue level at the interproximal space, and has a substantial impact on the morphology of the restoration. Soft tissue management in this area is mandatory. However, the reconstruction of soft tissue within the lost interproximal space is very much technique-sensitive, due to its anatomical morphology and its surgical flap design, which needs to be well considered.

During this lecture, the author wishes to consider his own clinical key points along with clinical cases for soft tissue reconstruction at natural tooth to natural tooth, pontic to implant, as well as between implant to implant, implant to pontic and pontic to pontic.

Digital Treatment, Esthetics and Harmony

Less is More - Contribution of Minimally Invasive Esthetic Dentistry to Harmony - Part 2

In order to achieve a harmonious esthetic result of indirect restorations at the smile zone - the operator should not only choose the material of the restoration, but also analyze and relate to the abutment type and color, and to the integration of the whole restorative complex with the surrounding tissue, whether of a natural tooth (vital or non-vital), or an implant.

In cases where different types of adjacent abutments should be restored, the treatment is even more challenging. One should plan ahead the different phases of the perio-restorative treatment in order to end up with a harmonious natural looking result, by choosing the most suitable materials for each site, so that the combined abutment-crown complexes will blend with each other, as well as with the adjacent dentition and with the vital periodontium, in an esthetic and healthy environment.

State of the art strategies will be presented where different abutment types were to be restored, utilizing diverse laboratory and clinical restorative techniques.

The concepts of Model Based Restoration and Cervical Contouring will be presented and analyzed in a variety of esthetically challenged clinical cases.

The Inter-Disciplinary Approach to Achieving Harmony

Digital Workflow in the Office: Is it a Reality in Daily Practice and for a Single Doctor?

Dr. Eric Van Dooren (Belgium) & Dr. Florin Cofar (Romania, USA)

Our main goal is to reach a better understanding of the possibilities of digital dentistry today and be able to leverage them based on both clinical and entrepreneurial efficiency, and current restorative possibilities, while trying to distinguish between what is a proof of concept (something that can be done) and an efficient workflow, from a dentist’s point of view. This lecture will explore the digital tool kit available today for traditional analogue concepts and workflows. Specifically, it will relate to 3 important aspects of a complete rehabilitation: copying natural shapes and transferring natural morphology to monolithic restorations; designing trans-mucosal segments, by copying natural root profiles; and guided surgery integration in implantperio-prosthetic cases.

Planning for aesthetic predictability and success in implant dentistry represents a great challenge for the dental team. The aesthetic outcome and natural appearance of the implant restoration ultimately depends on the execution and understanding of the team participating in the different treatment phases. This presentation focuses on the different clinical criteria and current surgical-prosthetic techniques for maximizing optimal aesthetics in conjunction with orthodontics, which is a critical element for achieving gingival integration and aesthetic success in complex implant failures.

Is Harmony still Achievable after Complications? The “Via Dolorosa”

Dr. Masana Suzuki (Japan)

For the aesthetic implant restoration, peri-implant soft tissue dehiscence is one of several complications. The solution to this complication may be roughly divided into the following three options:

Removal and relocation of the implant

Re-fabrication of the prosthetic component and reconstruction of the surrounding tissue

Sleeping implant and alternative restoration

By combining these three, we can define a solution to the peri-implant, soft tissue dehiscence issue. However, this is also considered a technically-challenging solution. Actually, a decade ago, peri-implant soft tissue reconstruction was said to be impossible to achieve. However, recently, some articles applying CTG have been evaluated. Yet, these articles are limited to cases of single implants. For multiple implant cases, the solution would become more complex.

During this lecture, the author wishes to consider mainly the technical solution to recover peri-implant, soft-tissue dehiscence for multiple implant cases.

Please note: This is a tentative program and is still subject to changes. A final scientific program will be published closer to conference date.